Model of Care: Pre-diabetic Patients
Implementation of a new model of care for pre-diabetic patients: Can we prevent progression?
Hunter New England
The project ‘Implementation of a new model of care for pre-diabetic patients: can we prevent progression?’, aims to implement a new, evidence-based model of care for diabetes prevention and to help people manage their own health.
Previous research has found that two million Australian’s have prediabetes and are at high risk of developing type 2 diabetes and cardiovascular disease. In addition to lifestyle intervention, zinc supplementation has been found to reduce insulin resistance, which is supported by evidence from two different meta-analyses of 25 small-scale randomised controlled trials and other studies.
Working through an innovative model of partnership between two LHDs and GPs, 410 people aged 40-70 years with prediabetes will be recruited and a randomised controlled trial will be conducted. The control group will receive the existing and effective NSW Health Get Healthy Information and Coaching Service for diabetes prevention, and a placebo capsule, while the intervention group will receive the same lifestyle intervention, plus a 30mg daily elemental zinc capsule. Outcomes over 12 months will include measures of adherence, insulin resistance and glycaemic markers, lipids, other CVD risk factors, and cost-effectiveness.
Professor John Attia.